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Safety and Effectivity Immunotherapy to Treat Ovarian Cancer With Cancer Stem Cells Vaccine

Primary Purpose

Neoplasms,Ovarian

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
CSC-DC
Sponsored by
Fuda Cancer Hospital, Guangzhou
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neoplasms,Ovarian

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

Patients with epithelial ovarian cancer FIGO (Fédération Internationale de Gynécologie et d'Obstétrique) stage III in remission after treatment with surgery (hysterectomy and ovariectomy) and after the first primary chemotherapy (standard treatment e.g. 6-9x Carboplatin/Taxane)

  1. Age > 18 ≤ 75 years
  2. Histological confirmed FIGO stage III ovarian epithelial cancer
  3. Stable disease at screening visit: negative CT and CA-125 within normal range
  4. Karnofsky status ≥ 70% and/or ECOG (Eastern Cooperative Oncology Group) performance status 0-2
  5. Life expectancy ≥ 6 months
  6. Adequate hematological function (WBC (white blood cells) ≥ 3000/µl, hemoglobin ≥ 10.0 g/dL, platelets > 100,000/µl)
  7. Adequate renal and hepatic function (serum creatinine ≤ 2.0 mg/dL, bilirubin total < 2 mg/dL, PT (INR) ≤ 1.5x institutional upper limit of normal)
  8. Signed and dated informed consent before the start of any study-specific procedure
  9. Body weight > 50 kg

Exclusion Criteria:

  1. Surgery, radiation therapy or chemotherapy within eight weeks prior to leukapheresis
  2. Other biological therapy (Interferons, TNF (Tumor necrosis factors), Interleukins, mABs (Monoclonal antibodies), biological response modifiers) within eight weeks prior to undergo the leukapheresis
  3. History or presence of systemic autoimmune disease (such as, but not restricted to, inflammatory bowel disease, systemic lupus erythematosus, ankylosing spondylitis, scleroderma or multiple sclerosis)
  4. Participation in other clinical trials or treatments with an investigational drug within four weeks prior to enrollment
  5. Serious intercurrent chronic or acute illness such as severe asthma or COPD (Chronic Obstructive Pulmonary Disease), cardiac (NYHA (New York Heart Association ) class III or IV) or hepatic disease, or other illness considered to constitute an unwarranted high risk for investigational drug treatment
  6. History of another malignancy within five years prior to study enrollment, except curatively treated non-melanotic skin cancer or cervical cancer in situ
  7. Presence of an active acute or chronic infection, including syphilis, HIV or viral hepatitis B and/or C
  8. Current treatment with corticosteroids (except of local) or other immunosuppressive agents such as azathioprine or cyclosporine A is excluded on the basis of its potential immune suppression. Any systemic steroid therapy must have been discontinued six weeks prior to undergo the leukapheresis
  9. Patients who have undergone organ transplantation
  10. Legally incapacitated persons and/or other circumstances, which make it difficult for the subject to understand the nature, meaning and consequences of the clinical study

Sites / Locations

  • Biological treatment center in Fuda cancer hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

non-cancer stem cell vaccine

giving low dose vaccine

giving middle dose vaccine

giving high dose vaccine

Arm Description

There is no cancer stem cell vaccine in this group

The using dosage,frequency and duration of cancer stem cell vaccine are still undetermined.

The using dosage,frequency and duration of cancer stem cell vaccine are still undetermined.

The using dosage,frequency and duration of cancer stem cell vaccine are still undetermined.

Outcomes

Primary Outcome Measures

The primary study purpose to determine the safety of immunization with cancer stem cells vaccine by the number of participants with adverse events

Secondary Outcome Measures

The secondary objectives are to evaluate vaccine immune responses to the immunizations by the data of body measurements
The secondary objectives are to evaluate the vaccine immune responses including cellular immunity and humoral immunity

Full Information

First Posted
June 27, 2014
Last Updated
September 10, 2019
Sponsor
Fuda Cancer Hospital, Guangzhou
Collaborators
University of Michigan
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1. Study Identification

Unique Protocol Identification Number
NCT02178670
Brief Title
Safety and Effectivity Immunotherapy to Treat Ovarian Cancer With Cancer Stem Cells Vaccine
Official Title
Study of Cancer Stem Cell Vaccine That as a Specific Antigen in Metastatic Adenocarcinoma of the Ovarian
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
April 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fuda Cancer Hospital, Guangzhou
Collaborators
University of Michigan

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Most studies of cancer stem cells (CSC) involve the inoculation of cells from human tumors into immunosuppressed mice, preventing an assessment on the immunologic interactions and effects of CSCs. In this study, the investigators examined the vaccination effects produced by CSC-enriched populations from histologically distinct murine tumors after their inoculation into different syngeneic immunocompetent hosts. Enriched CSCs were immunogenic and more effective as an antigen source than unselected tumor cells in inducing protective antitumor immunity.Immune sera from CSC-vaccinated hosts contained high levels of IgG which bound to CSCs, resulting in CSC lysis in the presence of complement.CTLs generated from peripheral blood mononuclear cells or splenocytes harvested from CSC-vaccinated hosts were capable of killing CSCs in vitro. Mechanistic investigations established that CSC-primed antibodies and T cells were capable of selective targeting CSCs and conferring antitumor immunity.
Detailed Description
To assess the feasibility of generating CSC-loaded DC vaccines for clinical use, the investigators will harvest peripheral blood and tumor specimen from patients with ovarian Cancer. The investigators will purify T, B cells and generate DCs from the PBMCs of the ovarian cancer patient.On the other hand, investigators will isolate ALDHhigh and ALDHlow tumor cells from the tumor specimen of the ovarian cancer patient using a similar protocol as investigators reported . Aim 1: To demonstrate, in vitro, the relative cellular anti-ovarian cancer CSC immunity induced by ovarian cancer CSC-DC primed cytotoxic T cells. Aim 2: To determine, in vitro, specific binding and lysis of ovarian cancer CSCs by antibodies produced by purified B cells from PBMCs stimulated with ovarian cancer CSC-DC.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neoplasms,Ovarian

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
non-cancer stem cell vaccine
Arm Type
Placebo Comparator
Arm Description
There is no cancer stem cell vaccine in this group
Arm Title
giving low dose vaccine
Arm Type
Experimental
Arm Description
The using dosage,frequency and duration of cancer stem cell vaccine are still undetermined.
Arm Title
giving middle dose vaccine
Arm Type
Experimental
Arm Description
The using dosage,frequency and duration of cancer stem cell vaccine are still undetermined.
Arm Title
giving high dose vaccine
Arm Type
Experimental
Arm Description
The using dosage,frequency and duration of cancer stem cell vaccine are still undetermined.
Intervention Type
Biological
Intervention Name(s)
CSC-DC
Primary Outcome Measure Information:
Title
The primary study purpose to determine the safety of immunization with cancer stem cells vaccine by the number of participants with adverse events
Time Frame
up to 3 months
Secondary Outcome Measure Information:
Title
The secondary objectives are to evaluate vaccine immune responses to the immunizations by the data of body measurements
Description
The secondary objectives are to evaluate the vaccine immune responses including cellular immunity and humoral immunity
Time Frame
1 month
Other Pre-specified Outcome Measures:
Title
The dose of CSC vaccine
Time Frame
up to 3 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with epithelial ovarian cancer FIGO (Fédération Internationale de Gynécologie et d'Obstétrique) stage III in remission after treatment with surgery (hysterectomy and ovariectomy) and after the first primary chemotherapy (standard treatment e.g. 6-9x Carboplatin/Taxane) Age > 18 ≤ 75 years Histological confirmed FIGO stage III ovarian epithelial cancer Stable disease at screening visit: negative CT and CA-125 within normal range Karnofsky status ≥ 70% and/or ECOG (Eastern Cooperative Oncology Group) performance status 0-2 Life expectancy ≥ 6 months Adequate hematological function (WBC (white blood cells) ≥ 3000/µl, hemoglobin ≥ 10.0 g/dL, platelets > 100,000/µl) Adequate renal and hepatic function (serum creatinine ≤ 2.0 mg/dL, bilirubin total < 2 mg/dL, PT (INR) ≤ 1.5x institutional upper limit of normal) Signed and dated informed consent before the start of any study-specific procedure Body weight > 50 kg Exclusion Criteria: Surgery, radiation therapy or chemotherapy within eight weeks prior to leukapheresis Other biological therapy (Interferons, TNF (Tumor necrosis factors), Interleukins, mABs (Monoclonal antibodies), biological response modifiers) within eight weeks prior to undergo the leukapheresis History or presence of systemic autoimmune disease (such as, but not restricted to, inflammatory bowel disease, systemic lupus erythematosus, ankylosing spondylitis, scleroderma or multiple sclerosis) Participation in other clinical trials or treatments with an investigational drug within four weeks prior to enrollment Serious intercurrent chronic or acute illness such as severe asthma or COPD (Chronic Obstructive Pulmonary Disease), cardiac (NYHA (New York Heart Association ) class III or IV) or hepatic disease, or other illness considered to constitute an unwarranted high risk for investigational drug treatment History of another malignancy within five years prior to study enrollment, except curatively treated non-melanotic skin cancer or cervical cancer in situ Presence of an active acute or chronic infection, including syphilis, HIV or viral hepatitis B and/or C Current treatment with corticosteroids (except of local) or other immunosuppressive agents such as azathioprine or cyclosporine A is excluded on the basis of its potential immune suppression. Any systemic steroid therapy must have been discontinued six weeks prior to undergo the leukapheresis Patients who have undergone organ transplantation Legally incapacitated persons and/or other circumstances, which make it difficult for the subject to understand the nature, meaning and consequences of the clinical study
Facility Information:
Facility Name
Biological treatment center in Fuda cancer hospital
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510000
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
22473314
Citation
Ning N, Pan Q, Zheng F, Teitz-Tennenbaum S, Egenti M, Yet J, Li M, Ginestier C, Wicha MS, Moyer JS, Prince ME, Xu Y, Zhang XL, Huang S, Chang AE, Li Q. Cancer stem cell vaccination confers significant antitumor immunity. Cancer Res. 2012 Apr 1;72(7):1853-64. doi: 10.1158/0008-5472.CAN-11-1400.
Results Reference
result
Links:
URL
http://www.fudahospital.com/
Description
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Safety and Effectivity Immunotherapy to Treat Ovarian Cancer With Cancer Stem Cells Vaccine

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